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Last modified
2/14/2018 3:33:42 PM
Creation date
2/14/2018 3:28:53 PM
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Contracts
Company Name
ACCO ENGINEERED SYSTEMS
Contract #
A-2017-158-01
Agency
PUBLIC WORKS
Council Approval Date
6/20/2017
Expiration Date
3/31/2018
Insurance Exp Date
10/1/2018
Destruction Year
2023
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NOTICE OF CANCELLATION — CERTIFICATE HOLDERS <br />(SPECIFIED DAYS) <br />The person(s) or organization(s) listed or described in the Schedule below have requested that they <br />receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the <br />Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of <br />cancellation that we sent to you. If possible, such copies of the notice will be mailed at least 60 days, <br />except for cancellation for non-payment of premium which will be mailed 10 days, prior to the effective <br />date of the cancellation, to the address or addresses of certificate holders as provided by your broker or <br />agent. <br />Schedule <br />Person(s) or Organization(s) including mailing address: <br />All certificate holders where written notice of the cancellation of this policy is required by <br />written contract, permit or agreement with the Named Insured and whose names and <br />addresses will be provided by the broker or agent listed in the Declarations Page of this <br />policy for the purposes of complying with such request <br />This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such <br />notification to the person(s) or organization(s) shown in the Schedule will not extend any policy <br />cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle <br />the person(s) or organization(s) listed or described in the Schedule above to any benefit, rights or <br />protection under this policy. <br />Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to <br />that statute or rule. <br />All other terms and conditions of this policy remain unchanged. <br />Endorsement Number: <br />Policy Number: 74WCI8949000 <br />Named Insured: ACCO ENGINEERED SYSTEMS, INC <br />This endorsement is effective on the inception date of this Policy unless otherwise stated herein: <br />Endorsement Effective Date: 10-01-17 <br />00 ML0087 00 11 10 Page 1 of 1 <br />REVIEWED BY; <br />_�EUNICE HEREDIA(PG &F 7}, <br />
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